PL-17-653Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
P mi Nth 't'L
Pit Type Plumbing
Itl/c ric Classification P
Permit Status
Parcel Number
653
dential
Private
APPROVED
Expiration: 10/28/2017
Applicant
335 NE 101 Street
Miami Shores, FL 33138 -
Owner Information
GERARDO GUARCH
1132060135211
Block: Lot:
Address
335 NE 101 Street
MIAMI SHORES FL
335 NE 101 Street
MIAMI SHORES FL
Contractor(s)
AQUATIC ENVIRONMENTS
Phone
(786)390-9029
Cell Phone
Phone
GERARDO GUARCH
(786)586-7756
CeII
Valuation: $ 1,200.00
Total Sq Feet: 0
Type of Work: pool & spa piping
Type of Piping:
Additional Info: pool & spa piping
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$3.38
$3.38
$0.40
$225.00
$3.00
$1.60
$237.96
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -3-17-63265
03/10/2017 Check #: 3394 $ 50.00 $ 187.96
05/01/2017 Check #: 3473 $ 187.96 $ 0.00
Available Inspections:
Inspection Type:
Main Drain
Final
Rough
Review Plumbing
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated.
May 01, 2017
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
May 01, 2017
1
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Farr (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
OBC 201
Master Permit No. C 'Y f (5 6
Sub Permit No. Pi_ \ - 6 53
sth
EI BUILDING ❑ ELECTRIC ❑ ROOFING Ei REVISION ❑ EXTENSION ElRENEWAL
M
PLUMBING ❑ECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF D CANCELLATION 0SHOP
n� �? CONTRACTOR DRAWINGS
!OB ADDRESS: 4) t m. S T
City:
Miami Shores County: Miami Dade Zia: ",j
Folio/Pard#: 1 t -;.3a0(0--Q1`6 G2.11 1s the Building Historically Designated: Yes NO
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Ger-pk -,alreIrs Phone#:
Address: 5 )Je , 0‘ —eefi
City: iyvt o 1T i +\aVi State: FA. zip: 3 l
a
Tenant/Lessee Name: 1 `i-- Phone#:
Email:
CONTRACTOR: Company Name: _picluatAlc.,
1 e1 t 1� Ak3 Phone#:C/0(400.?
Address: t 1 J-� `J" C.`L� �- PG'
city: ctN +r?e State: FA Zip:r-31&1::,
Qualifier Name: L1.—LLA � S �y 1 (D Phone#:
State Certification or Registration #: til C C.i b 47).22— Certificate of Competency #: 9
DESIGNER: Architect/Engineer: " -C. 6---N)6"; -D `I & Phone#: ?-- Z.71 Os 2'
Address: -1-4E305 Suo 4 '-k-- *-1.11 Cay: AM `A- State:11 Bp: -33 i5 6
Value of Work for this Penult: $ ti 2o0 ,c Square/Linear Footage of Work:
New ❑Repair/Replace
Type of Work: Addition 0 Alteration 0 Demolition
S yi el r)
Description of Work:
Specify color of color thru tile: l
Submittal Fee $ S V 1 ct Permit Fee $ ) 25 --
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ L'V-
(Revised02/2M.2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
Gty State Zp
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS. ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
yR.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In
inspection wnot be approved and a reinspection fee will be charged.
P notice, the
ili
OWNER or AGENT
The foregoing instrument was acknowledged before me this
0..AC,14 , 20 1.74-
C day of
_Signature
by
ELENA A SADLER
identification and
.lesion N FF 924095
My omm. Expires Dec 13, 2019
Bonded though National Notary Assn.
"812-trLs.--
Sign: .En O (Fier
Print
Seal:
APPROVED BY
(Re2/24/20141
The foregoing instrument was acknowledged before me this
L day of `--C , 20 11— . by
A1:'4#0-C4--, who is personally known to
me or who has prod
identification and who
NOTARY PUBLIC:
Sign:
Print
Seal:
,,,,,,,,,,,ELENA A SADLER as
.•'„�`o', Notary Public - State of Florida
Commission • FF 924095
�m�;c My Comm. Expires Dec .13, 2019
„t•'` , Bonded throes National Notary Assn.
ElenQ -A r
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fi Plans Examiner
Structural Review
Zoning
Clerk